Individual
MYRA GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4726 N HABANA AVE STE 100, TAMPA, FL 33614-7144
(813) 549-2134
Mailing address
4730 N HABANA AVE STE 204, TAMPA, FL 33614-7148
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
—
—
Other
Enumeration date
03/29/2018
Last updated
03/29/2018
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